Individual provider Active NPI

Jacqueline Van Cleave, NP-C, RN

  • Family Nurse Practitioner
  • Littleton, CO
National Provider Identifier
1821641994
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0994981-NP Issued in CO
Practice address
9895 W Remington PL
Littleton, CO 80128-6734
Phone
(303) 948-2676
Fax
(303) 904-9151
NPI assigned
Jul 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.1617161 CO
Family Nurse Practitioner 363LF0000X APN.0994981-NP CO Primary

Addresses

Primary practice location

9895 W Remington PL
Littleton, CO 80128-6734

Mailing address

9895 W Remington PL
Littleton, CO 80128-6734
Phone (303) 948-2676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210223000391 CO Practitioner - Nurse Practitioner 4284060997 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
APN.0994981-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinon Family Practice LLP CurrentSince Feb 5, 2024 Accepting new patients
V Solano Medical LLC CurrentSince Feb 7, 2022 Accepting new patients
Nutrition Center of Colorado, LLC PastSince Jan 26, 2022 Accepting new patients

Locations

9895 W Remington Pl
Littleton, CO 80128
Phone (303) 948-2676

4990 Kipling St
Ste B56
Wheat Ridge, CO 80033
Phone (303) 456-4882

4990 Kipling St
Ste B6
Wheat Ridge, CO 80033
Phone (303) 456-4882

Interoperability endpoints

  • Direct secure messaging: jacqueline.van.cleave.1@14940.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1821641994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9895 W REMINGTON PL",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801286734",
            "telephone_number": "303-948-2676",
            "fax_number": "303-904-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9895 W REMINGTON PL",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801286734",
            "telephone_number": "303-948-2676",
            "fax_number": "303-904-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN CLEAVE",
        "first_name": "JACQUELINE",
        "credential": "NP-C, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.1617161",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0994981-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.